Mid Atlantic Medical Management , LLC

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

0101254559 Issued in VA

Legal business name

MID ATLANTIC MEDICAL MANAGEMENT , LLC

Practice address

5904 Old Richmond Highway
Suite 515
Alexandria, VA 22303

Phone

(240) 754-7129

Fax

(240) 754-7128

NPI assigned

Sep 7, 2016

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Atlee Thomas Wampler, DC

Title

Ceo/Owner

Phone

(770) 504-5162

Specialties & licenses 1

Addresses

Tax ID family

Mid Atlantic Medical Management LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Mid Atlantic Medical Management , LLC

  • General Practice Physician
  • Waldorf, MD
  • NPI 1568904712
  NPD tax ID

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1473206400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1473206400000",
    "number": "1689121709",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 566455",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "311566455",
            "telephone_number": "770-504-5162",
            "fax_number": "770-392-9298"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5904 OLD RICHMOND HIGHWAY",
            "address_2": "SUITE 515",
            "city": "ALEXANDRIA",
            "state": "VA",
            "postal_code": "22303",
            "telephone_number": "240-754-7129",
            "fax_number": "240-754-7128"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MID ATLANTIC MEDICAL MANAGEMENT , LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-09-07",
        "last_updated": "2016-09-07",
        "status": "A",
        "authorized_official_last_name": "WAMPLER",
        "authorized_official_first_name": "ATLEE",
        "authorized_official_middle_name": "THOMAS",
        "authorized_official_title_or_position": "CEO/OWNER",
        "authorized_official_telephone_number": "770-504-5162",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": "VA",
            "license": "0101254559",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mary Jay Michel, M.S., L.M.F.T.
• Sandra Jean Michell, PT
• Michelle Kondracki Oconnor PT (Beyond PT)
• Aristides John Michos, M.D.
• Pamela Mickey
• Mid Atlantic Pain Management, LLC
• Mid Atlantic Pain Management, LLC
• Mid-Atlantic Mobile Medical Imaging, LLC.
• Lamaya Middleton, LMFT
• Giselle Mignott

• Internal Medicine Physician in Alexandria, VA
• Providers in Alexandria, VA by specialty
• Internal Medicine Physician in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 7, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.